Individual
NEPHTALI RUIZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST # 1600, LOMA LINDA, CA 92350-1716
(909) 558-2262
Mailing address
11175 CAMPUS ST, LOMA LINDA, CA 92350-1700
(909) 558-4286
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A95430
CA
208600000X
Surgery Physician
D68870
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023254800
—
MD
Enumeration date
05/09/2007
Last updated
01/16/2026
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